Individual provider · Type 1 NPI

Jeremy Clark Blackwood

Mental Health Counselor · Lynn, MA

NPI number 1598015372 Active

Practice location

181 Union St Ste 2
Lynn, MA 01901-1346

Call (978) 542-1951 Map

Mailing address

341 Cardinal Medeiros Ave
Cambridge, MA 02141-1420

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1598015372

Jeremy Clark Blackwood's National Provider Identifier is 1598015372, issued on Sep 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lynn, MA. The record was last updated on Sep 19, 2012.